Outcome of 88 pregnancies with absent or reversed end-diastolic blood flow (ARED flow) in the umbilical arteries
| Autor: | Henrique Barros, Nuno Montenegro, Luís Pereira Leite, Eugénio Tavares, Alexandra Matias, Fátima Santos |
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| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
Reversed flow Diastole Hemodynamics Ultrasonography Prenatal Umbilical Arteries Pregnancy Risk Factors medicine.artery Infant Mortality medicine Humans Placental Circulation Prospective Studies Fetus business.industry Vascular disease Obstetrics Infant Newborn Pregnancy Outcome Obstetrics and Gynecology Ultrasonography Doppler Umbilical artery Blood flow medicine.disease Surgery Reproductive Medicine Female Neonatal death business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 79:43-46 |
| ISSN: | 0301-2115 |
| Popis: | Objectives : to investigate both perinatal and postneonatal morbidity and mortality in fetuses with absent or reversed end-diastolic flow (ARED flow) in the umbilical artery. Study design : A 5 year prospective follow-up of 88 fetuses with ARED flow. Results : Sixteen stillbirths, 16 neonatal deaths, six postneonatal deaths and one death at 2 years of age were noted. Out of the 42 fetuses born alive, 36 showed a normal neurological development whereas six were mentally handicapped. Adverse prognosis was more frequently found in the group with absent end-diastolic flow at first examination and then reversed flow until delivery, compared to the groups of always absent or always reversed end-diastolic flows. Conclusions : Prompt delivery is recommended in these high-risk pregnancies in order to prevent long-term sequelae, obviously depending on the local limits of viability. Further studies appropriately designed for assessing long-term neurodevelopment of fetuses with ARED flow, although demanding, are mandatory. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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